NM_016529.6:c.77G>A

Variant summary

Our verdict is Benign. The variant received -10 ACMG points: 0P and 10B. BP4_StrongBP6_ModerateBS1

The NM_016529.6(ATP8A2):​c.77G>A​(p.Gly26Glu) variant causes a missense, splice region change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000164 in 1,613,956 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 2/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Likely benign (★).

Frequency

Genomes: 𝑓 0.00091 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000086 ( 0 hom. )

Consequence

ATP8A2
NM_016529.6 missense, splice_region

Scores

1
5
10
Splicing: ADA: 0.9616
1
1

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: 9.02

Publications

1 publications found
Variant links:
Genes affected
ATP8A2 (HGNC:13533): (ATPase phospholipid transporting 8A2) The protein encoded by this gene is a member of the P4 ATPase family of proteins, which are thought to be involved in a process called lipid flipping, whereby phospholipids are translocated inwards from the exoplasmic leaflet to the cytosolic leaflet of the cell membrane, which aids in generating and maintaining asymmetry in membrane lipids. This protein is predicted to contain an E1 E2 ATPase, a haloacid dehalogenase-like hydrolase (HAD) domain, and multiple transmembrane domains. Associations between this protein and cell cycle control protein 50A are important for translocation of phosphatidylserine across membranes. Mutations in this gene have been associated with a syndrome (CAMRQ4) characterized by cerebellar ataxia and cognitive disabilities. In addition, a translocation breakpoint within this gene was observed in an individual with neurological dysfunction. Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Jul 2017]
ATP8A2 Gene-Disease associations (from GenCC):
  • cerebellar ataxia, intellectual disability, and dysequilibrium
    Inheritance: AR Classification: DEFINITIVE, SUPPORTIVE Submitted by: Orphanet, ClinGen
  • cerebellar ataxia, intellectual disability, and dysequilibrium syndrome 4
    Inheritance: AR Classification: STRONG, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), G2P

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -10 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.01889497).
BP6
Variant 13-25468977-G-A is Benign according to our data. Variant chr13-25468977-G-A is described in ClinVar as Likely_benign. ClinVar VariationId is 2064051.Status of the report is criteria_provided_single_submitter, 1 stars.
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.000913 (139/152328) while in subpopulation AFR AF = 0.0032 (133/41590). AF 95% confidence interval is 0.00276. There are 0 homozygotes in GnomAd4. There are 67 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_016529.6. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ATP8A2
NM_016529.6
MANE Select
c.77G>Ap.Gly26Glu
missense splice_region
Exon 2 of 37NP_057613.4
ATP8A2
NM_001411005.1
c.77G>Ap.Gly26Glu
missense splice_region
Exon 2 of 36NP_001397934.1A0A804HKW9
ATP8A2
NM_001313741.1
c.-44G>A
splice_region
Exon 2 of 36NP_001300670.1Q9NTI2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ATP8A2
ENST00000381655.7
TSL:1 MANE Select
c.77G>Ap.Gly26Glu
missense splice_region
Exon 2 of 37ENSP00000371070.2Q9NTI2-4
ATP8A2
ENST00000281620.11
TSL:1
n.77G>A
splice_region non_coding_transcript_exon
Exon 2 of 38ENSP00000281620.7F8W9B3
ATP8A2
ENST00000682472.1
c.77G>Ap.Gly26Glu
missense splice_region
Exon 2 of 36ENSP00000508103.1A0A804HKW9

Frequencies

GnomAD3 genomes
AF:
0.000913
AC:
139
AN:
152210
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00321
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000327
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.000478
GnomAD2 exomes
AF:
0.000257
AC:
64
AN:
249142
AF XY:
0.000163
show subpopulations
Gnomad AFR exome
AF:
0.00362
Gnomad AMR exome
AF:
0.000145
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.000331
GnomAD4 exome
AF:
0.0000855
AC:
125
AN:
1461628
Hom.:
0
Cov.:
31
AF XY:
0.0000743
AC XY:
54
AN XY:
727130
show subpopulations
African (AFR)
AF:
0.00323
AC:
108
AN:
33462
American (AMR)
AF:
0.000112
AC:
5
AN:
44716
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26116
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39686
South Asian (SAS)
AF:
0.0000232
AC:
2
AN:
86254
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53418
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5768
European-Non Finnish (NFE)
AF:
0.00000270
AC:
3
AN:
1111830
Other (OTH)
AF:
0.000116
AC:
7
AN:
60378
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.480
Heterozygous variant carriers
0
7
14
22
29
36
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
10
20
30
40
50
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.000913
AC:
139
AN:
152328
Hom.:
0
Cov.:
32
AF XY:
0.000899
AC XY:
67
AN XY:
74502
show subpopulations
African (AFR)
AF:
0.00320
AC:
133
AN:
41590
American (AMR)
AF:
0.000327
AC:
5
AN:
15300
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5176
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4830
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10620
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
68022
Other (OTH)
AF:
0.000473
AC:
1
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.498
Heterozygous variant carriers
0
6
13
19
26
32
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.000648
Hom.:
0
Bravo
AF:
0.00104
ESP6500AA
AF:
0.00349
AC:
14
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000273
AC:
33
Asia WGS
AF:
0.000289
AC:
1
AN:
3478

ClinVar

ClinVar submissions
Significance:Likely benign
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
1
not provided (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.14
BayesDel_addAF
Benign
-0.46
T
BayesDel_noAF
Benign
-0.43
CADD
Pathogenic
26
DANN
Uncertain
0.99
Eigen
Uncertain
0.33
Eigen_PC
Uncertain
0.28
FATHMM_MKL
Uncertain
0.92
D
LIST_S2
Benign
0.50
T
M_CAP
Pathogenic
0.87
D
MetaRNN
Benign
0.019
T
MetaSVM
Benign
-0.94
T
PhyloP100
9.0
PrimateAI
Uncertain
0.74
T
PROVEAN
Benign
-1.1
N
REVEL
Benign
0.18
Sift
Benign
0.076
T
Sift4G
Benign
0.071
T
Vest4
0.35
MVP
0.76
MPC
0.90
ClinPred
0.064
T
GERP RS
4.2
PromoterAI
-0.026
Neutral
Varity_R
0.17
gMVP
0.31
Mutation Taster
=53/47
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
0.96
dbscSNV1_RF
Benign
0.56
SpliceAI score (max)
0.010
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs201409188; hg19: chr13-26043115; API